Clinical Study

Retrospective Analysis of Arthroscopic Superior Labrum Anterior to Posterior Repair: Prognostic Factors Associated with Failure

Table 2

Outcomes and potential contributing factors following arthroscopic SLAP lesion repair.

Authors (reference)Number of patientsClinical outcome measuresOutcomesPotential factors

Katz et al., 2009 [14]40 shoulders (39 patients)SST, patient satisfaction71% of those with poor outcome dissatisfied with conservative treatmentNot discussed
Brockmeier et al., 2009 [6] 47ASES, L’Insalata87% good to excellentHigher outcomes after traumatic etiology
Boileau et al., 2009 [21]10 (15 others with BT)Constant, patient satisfaction(i) Constant score 65 → 83
(ii) 60% dissatisfied
(iii) 4 overall failures converted to BT
Not discussed
Yung et al., 2008 [22]16UCLA, physical exam31% excellent, 44% good, 25% poorOverhead athletes required longer time to RTP
Park et al., 2008 [15]24UCLA, VAS(i) UCLA: 22.7 → 29.9
(ii) VAS: 6.4 → 2.1
Mechanism of injury did not impact outcomes
Oh et al., 2008 [23]25 (58 total in study, only 25 with isolated SLAP lesions)VAS, ASES, UCLA, SST, constantSignificant improvements:
(i) VAS pain: 1.8
(ii) ASES: 84.1
(iii) UCLA 32.6
(iv) SST: 94.7
(v) VAS: 8.9
Not discussed
Voos et al., 2007 [13]30 (combined RCT with SLAP or Bankart)ASES, L’Insalata(i) 90% good to excellent
(ii) 77% return to play
(iii) 2 recurrent RCT
Not discussed
Funk and Snow, 2007 [24]18 Satisfaction, time to RTP89% satisfactionIsolated SLAP lesions had quickest return to play
Enad et al., 2007 [9]27 (15 with isolated tears), military populationASES, UCLAExcellent in 4, good in 20, fair in 3
96% return to duty
Higher outcomes scores in pts with concomitant diagnosis
Coleman et al., 2007 [8]50 (16 with concomitant acromioplasty)ASES, L’Insalata,(i) 65% good to excellent in SLAP only group
(ii) 81% good to excellent in acromioplasty group
Not discussed
Cohen et al., 2006 [7]39ASES, L’Insalata,(i) 71% satisfied
(ii) 41% with continued night pain
Athletes and pts with rotator cuff piercing with worse outcomes
Ide et al., 2005 [25]40, all overhead athletesModified Rowe(i) Rowe: 27.5 → 92.1
(ii) 75% return to preinjury level of activity
Traumatic etiology with better return to activity than overuse etiology
Kim et al., 2002 [11]34UCLA(i) 94% satisfied
(ii) 91% return to preinjury level
Overhead sports with lower ASES ( ) and lower return to preinjury level ( )
O’Brien et al., 2002 [12]31ASES, L’Insalata(i) 52% return to preinjury level
(ii) L’Insalata: 87
(iii) ASES: 87.2
Not discussed

Abbreviations: SLAP: superior labrum anterior to posterior; BT: biceps tenodesis; ASES: American Shoulder and Elbow Society; UCLA: University of California Los Angeles; SST: Simple Shoulder Test; VAS: Visual Analog Scale; RCT: rotator cuff tear; RTP: return to play.